Quality and Safety in Nursing: A Competency Approach to Improving Outcomes

Drawing on the universal values in health care, the second edition of Quality and Safety in Nursing continues to devote itself to the nursing community and explores their role in improving quality of care and patient safety.

Edited by key members of the Quality and Safety Education for Nursing (QSEN) steering team, Quality and Safety in Nursing is divided into three sections. Itfirst looks at the national initiative for quality and safety and links it to its origins in the IOM report. The second section defines each of the six QSEN competencies as well as providing teaching and clinical application strategies, resources and current references. The final section now features redesigned chapters on implementing quality and safety across settings.

New to this edition includes:

Instructional and practice approaches including narrative pedagogy and integrating the competencies in simulation A new chapter exploring the application of clinical learning and the critical nature of inter–professional teamwork A revised chapter on the mirror of education and practice to better understand teaching approaches

This ground–breaking unique text addresses the challenges of preparing future nurses with the knowledge, skills, and attitudes (KSAs) necessary to continuously improve the health care system in which they practice.

Contributors

Foreword

Preface

Dedication

Section 1 Quality and Safety: An Overview

1 Driving Forces for Quality and Safety: Changing Mindsets to Improve Health Care
Gwen Sherwood

2 Policy Implications Driving National Quality and Safety Initiatives
Mary Jean Schumann

3 A National Initiative: Quality and Safety Education for Nurses (QSEN)
Linda R. Cronenwett, Jane Barnsteiner

Section 2 Quality and Safety Competencies: The QSEN Project

4 Patient–Centered Care
Mary K. Walton, Jane Barnsteiner

5 Teamwork and Collaboration
Joanne Disch

6 Quality Improvement
Jean Johnson

7 Evidence–Based Practice
Mary Fran Tracy, Jane Barnsteiner

8 Safety
Jane Barnsteiner

9 Informatics
Thomas R. Clancy, Judith J. Warren

Section 3: Strategies to Build a Culture of Quality and Safety

10 Transforming Education to Transform Practice: Integrating Quality and Safety in Subject Centered Classrooms using Unfolding Case Studies
Lisa Day, Gwen Sherwood

11 Using Narrative Pedagogy to Foster Quality and Safety
Pamela M. Ironside, Elizabeth Cerbie Brown, Amy Hagedorn Wonder

12 Integrating Quality and Safety Competencies in Simulation
Kathryn R. Alden, Carol F. Durham

13 Quality and Safety Education in Clinical Learning Environments
Lisa Day and Gwen Sherwood

14 Interprofessional Approaches to Quality and Safety Education Interprofessional Approaches to Quality and Safety Education
Mary A. Dolansky, Ellen Luebbers, Mamta Singh, Shirley M. Moore

15 Improving Quality and Safety with Transition–to–Practice Programs
Nancy Spector, Beth Ulrich, Jane Barnsteiner

16 Leadership to Create Change
Joanne Disch

17 Global Perspectives on Quality and Safety
Gwen Sherwood

Appendix A: Pre–licensure Competencies

Appendix B.: Graduate Competencies and updated competencies from AACN

Appendix C: Delphi study results

Glossary

Index

Gwen Sherwood is Professor and Associate Dean for Practice and Global Initiatives, School of Nursing at the University of North Carolina, Chapel Hill, USA.

Jane Barnsteineris Professor Emerita, School of Nursing at the University of Pennsylvania, and Editor of Translational Research and Quality Improvement at the American Journal of Nursing, USA.